Individual provider · Type 1 NPI
John Junil Kim, DPM
Foot & Ankle Surgery Podiatrist · Bloomington, IL
NPI number
1023647229
Active
Practice location
1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112
Mailing address
611 W Park St, Fapc
Urbana, IL 61801-2500
Other practice locations
- 2160 S 1st Ave, Maywood, IL 60153-3328 · (708) 216-6906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016006086 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1023647229
John Junil Kim, DPM's National Provider Identifier is 1023647229, issued on Apr 8, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bloomington, IL. The record was last updated on Jun 6, 2025.